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TOP Ch. 17
| Question | Answer |
|---|---|
| patterns of thought, feeling, and behavior beyond the normal range of psychological variation | personality disorder |
| The Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) | is a primary tool for diagnosing personality disorders |
| Two major purposes of the DSM-5-TR | it represents an effort to make psychological disorders more objective and consistent across different locations and therapists; used for insurance billing purposes (numerical codes) |
| a personality disorder, by definition, is the expression of an ____ degree of one or more attributes of personality | unusually extreme |
| the unusually extreme behavioral pattern causes _____ for the person or for others | major problems |
| social aspect of personality disorders(1): other people must be present for the full expression of many psychological symptoms | social |
| social aspect of personality disorders (2): the cluster of behavioral symptoms associated with personality disorders are, by the usual definition, ____ | stable |
| the people who have the symptoms of a personality disorder do not think anything is wrong; they have little to no awareness of their unusual and problematic behavior | ego-syntonic |
| Personality disorders that involve ego-syntonic ideas are difficult cases for therapists because ____ and ____ | it is difficult to get them into therapy and the person probably could not self-report symptoms accurately |
| 4 bases for diagnosis: repeated sessions, big picture judgments, examples | clinical impression |
| 4 bases for diagnoses: items client might endorse on a survey | self-report scales |
| 4 bases for diagnoses: types of questions | structure interviews |
| 4 bases for diagnoses: what others might report about a person | informant report |
| these are the "weird" ones - people who seem odd, eccentric, or just.. . off (schizotypal, schizoid, paranoid) | Cluster A: Odd/Eccentric |
| weird beliefs, strange ideas, socially uncomfortable; strange, unusual thinking, appears "different", difficulty with close relationships - may avoid people, can be suspicious of others, disorganized thoughts and speech, close to schizophrenia spectrum | schizotypal personality disorder |
| cold, detached, social detachment; limited emotional expression, appears indifferent to others, rarely experiences strong emotions, gets little pleasure from interaction, passive in situations, prefers solitary activities and isolated living | schizoid personality disorder |
| everyone is out to get me; distrustful, suspicious of motives, misinterprets social events as threatening, reads hidden meanings into harmless comments, looks for patterns to "prove" others are against them, argumentative, angry, stubborn, or hostile | paranoid personality disorder |
| These are the "drama" ones - intense emotions, impulsive, attention-seeking (histrionic, antisocial, narcissistic, borderline) | Cluster B: Impulsive/Erratic |
| strong need for attention, excessive and strong emotions, shallow or exaggerated opinions, suggestible, may describe acquaintances as closer than they really are, sexually provocative, extreme or risky behavior, feels uncomfortable when NOT the focus | Histrionic personality disorder |
| manipulative, rationalizes harmful and dangerous behavior, easily irritated, aggressive, and assaultive, reckless and irresponsible, little concern/indifference/remorse for others, superficial charm, illegal activity and negative outcomes | antisocial personality disorder |
| Grandiose sense of self-importance, entitlement, Expects recognition as superior, fantasies of ultimate attainment, associate only with others of high-status, Requirement for excessive admiration, exploitative, Lack of empathy, Enviousness, FRAGILE SE | narcissistic personality disorder |
| emotional instability/intensity, rapid mood shifts, self-destructive acts, identity disturbance, chronic emptiness, unstable, chaotic relationships, fear of abandonment, black-and-white thinking, confusion and feelings of unreality, suicide risk | borderline personality disorder |
| characterized by anxiety and avoidance; themes of anxiety, fear, and insecurity (dependent, avoidant, obsessive-compulsive) | Cluster C: Anxious/Avoidant |
| Excessive need to be taken care of, Submissive, Seeks reassurance from others | dependent personality disorder |
| Feelings of inadequacy, Sensitive to criticism, Restricts activities to avoid embarrassments, Low self-esteem | avoidant personality disorder |
| Overconcern with rules and details, Perfectionism, Workaholic, Inflexibility, Packrat, Inability to delegate, Miserly/stingy, Rigid and stubborn | obsessive-compulsive personality disorder |
Created by:
alumesi